NPIMap

Individual provider Active NPI

Carlo E Gopez, M.D

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Elkton, MD
National Provider Identifier
1578770004
Registry record updated Jun 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
License
D0065902 Issued in MD
Practice address
138 Cathedral St
Elkton, MD 21921-5562
Phone
(410) 398-3041
Fax
(410) 392-6853
NPI assigned
May 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X D0065902 MD Primary

Addresses

Primary practice location

138 Cathedral St
Elkton, MD 21921-5562

Mailing address

138 Cathedral St
Elkton, MD 21921-5562
Phone (410) 398-3041

Other identifiers 1

IdentifierTypeStateIssuer
P00415424OtherMDMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070918000412 MD Practitioner - Family Practice 9537253869 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Meridian Primary Care LLCGroup PAC ID 2365536695, 2 clinicians

Practice addresses (Care Compare)

115 N Bridge St
Elkton, MD 21921-5326
Phone (410) 398-3041

Hospital & facility affiliations

  • Amedisys Home Health Home health agency, Elkton, MD, CCN 217151
  • Bayada Home Health Care, Inc. Home health agency, Towson, MD, CCN 217101
  • Union Hospital of Cecil County Hospital, Elkton, MD, CCN 210032
  • Christiana Hospital Hospital, Newark, DE, CCN 080001

Merit-based Incentive Payment System (MIPS)

Final score
85.11 of 100Reported as individual
Quality
86.64
Improvement activities
40
Cost
68.18

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0065902MDMDHospice and Palliative Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Meridian Primary Care LLC Hospice and Palliative Medicine CurrentSince Aug 1, 2007 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

115 N Bridge St
Elkton, MD 21921
Phone (410) 398-3041

138 Cathedral St
Elkton, MD 21921
Phone (410) 398-3041

Interoperability endpoints

  • Direct secure messaging: carlogopez@mpcmd.allscriptsdirect.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244505600000",
    "number": "1578770004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 CATHEDRAL ST",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219215562",
            "telephone_number": "410-398-3041",
            "fax_number": "410-392-6853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 CATHEDRAL ST",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219215562",
            "telephone_number": "410-398-3041",
            "fax_number": "410-392-6853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOPEZ",
        "first_name": "CARLO",
        "middle_name": "E",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-16",
        "last_updated": "2009-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "MD",
            "license": "D0065902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00415424",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkton, MD

Sources for this page

Verify at the official NPI Registry.